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HomeMy WebLinkAboutBLD2001-00093 i E PROPANE/PELLET/WOOD STOVE & TANK INSTALLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360) 379-4450 FAX (360) 379-4451 (800)831-2678 PERMIT#: BLD01-00093 Received Date 2/12/2001 SITE ADDRESS: 74 WELLS RIDGE CT Issue Date 2/12/2001 PORT LUDLOW, 98365 r'"r'' Expiration Date 2/12/2002 3,2:- APPLICANT: KENNETH PARSON PHONE: (360)437-1301 74 WELLS RIDGE CT PORT LUDLOW WA 98365 4 SUBDIVISION: PORT LUDLOW NO 7 Block: Lot: PARCEL NUMBER: 990100004 Section: 17 Township: 28N Range: 01 E CONTRACTOR: GAS CONNECTION PHONE: (360)479-0105 1809 SHOREWOOD DR BREMERTON WA 98312 Contractor's License GASCO**082P6 Expires 10/12/2001 OWNER, KENNETH PARSON PHONE: (360)437-1301 if different: 74 WELLS RIDGE CT PORT LUDLOW WA 98365 PROJECT DESCRIPTION Propane Tank& Fireplace Logs THIS PERMIT IS VALID FOR ONE YEAR AND IS NOT RENEWABLE. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 02/12/2002 REQUIRED INSPECTIONS: ( ) (T nOAppliance,;.rNre-Ni7/OJZ M/6 /l /,S7d/#� 7/q///C ©/C �.?.�/o! ��r�r P`� �// / ^� � 4 5 /-0 S /'�fC' 27/ 611/16 BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. Inspector's Phone Hours 8:00 a.m. - 9:00 a.m. HOT LINE AVAILABLE 24 HOURS A DAY i:1F_BLD Perrnit_Propane.rpt 10/29/19 BUILDING PERMIT APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD01-00093 Received Date: 2/12/2001 SITE ADDRESS: 74 WELLS RIDGE CT PORT LUDLOW, 98365 APPLICANT: KENNETH PARSON PHONE: (360)437-1301 74 WELLS RIDGE CT PORT LUDLOW WA 98365 SUBDIVISION: PORT LUDLOW NO 7 Block: Lot: 4 PARCEL NUMBER: 990100004 Section: 17 Township: 28 N Range: 01 E CONTRACTOR: PETTIT OIL CO PHONE: (360)385-1420 PO BOX 1031 PORT TOWNSEND WA 98368 Contractor's License PETTIOCO88CC Expires 05/01/2001 ARCHITECT/ ENGINEER : PROJECT DESCRIPTION: Propane Tank & Fireplace Logs TYPE OF WORK NON SQUARE FOOTAGE: TYPE OF IMP NEW VALUATION MAIN: CODE EDITION: 1997 ADD'L: HEAT TYPE: OCCUPANCY: HEAT BASE: HEAT TYPE: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: SEW WATER SYSTEM: PUBLIC PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: Prop: Seismic Streams Total: Total: Flood Way Floodplain Routing Date: F&W Landslide Shoreline Aquifer Forest: Commercial Rural Type Amount Paid By: Date: —Proximity - Flat C; ditions yp Receipt: Approved/Date Total: JEFFERSON COUNTY COMMUNITY DEVELOPMENT, 621 SHERIDAN ST, PORT TOWNSEND WA 98368 PH: 1360) 379-4450 S INSTALLATION PERMIT APPLICATION r WOODSTOVEX PROPANE TANK PELLET STOVE /OTHER 1 r r J SZ- SITE ADDRESS: ' / 911#/ROAD NAME ?7`/ t(//r4zs k c/6-t Ci /� � �e3� ©!'j f ( v Cell 4c.J ZIP 9 DIGIT PARCEL ID NUMBER 79U ro,o a.df4 Legal Description: Subdivision Name Block Lot(s) Section Township North, Range WM • APPLICANT V/�jV 74 /jam � iel©y/ PHONE( ‘44' 7/,30/ MAILING ADDRESS Zv eJ/3LG-. Fic,-- :_,„ 62f �'/1,- .. v %a.-c_ ZIP 90r-_5ei,S PROPERTY OWNER .5.jZ - t ,Q --Ix ,,rj7, ,OrP/-1 PHONE MAILING ADDRESS ZIP CONTRACTOR V�s/e , / / ,f -Giv5 �'✓'�'' /02-•f (ONE/ - /�s //¢•^ •�t'S , MAILING ADDRESS ZIP STATE LICENSE# EXP. DATE FEDERAL I.D. # By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner With respect to this application packet may result in this permit being null and void. I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments, court costs, reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and it's employees, representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. XAPPLICANT SIGNATURE J!✓t�' .....** " --__\ )TEelZ // /C// f aro.f5r: �. :":'" %tle- x0 •.e "� " ry f,�a ;i k ,:vT.a'ex,: s yv.tir ,r4OR O ki+ 'USE NLY T 4x z j n k `� RECC EP 4# s i s F � AT ' - .�Af is a ' ,, ` a ,, � yE, a . H:\HOME\PLN CNTR\FORMS\INSTALL.DOC 10/99 12ZIJ i O/ _ /J